Need to see Counselor Bell? 
Mount Holly Middle School Counselor Form:

Please fill out this form if you would like Counselor Bell to check in with you regarding a concern, issue or something else. This form will send an email alert to Counselor Bell letting her know you need to get in touch with her.

You are very important and we want to stay connected to you!

All information is confidential (stays between the student and counselor) except...
-If someone is hurting you
-If you are hurting yourself or want to hurt yourself
-If you want to hurt someone else
-Any information you give the counselor permission to share
Email *
Last Name *
First Name *
Choose Your Grade Level *
Is this an emergency?  An emergency involves hurt, harm or danger to self or others. Examples could include: (an adult physically harming a child, suicidal thoughts, serious threats, or other dangerous situations that need immediate attention). *
What do you need to talk to Counselor Bell about?  *
Required
Please provide more details regarding your concern...
*
When would you like Counselor Bell to come talk with you? She will do her best to accommodate your request. Emergencies will be handled immediately. Ms. Bell will go in the order in which the messages are received from students. Thank you for understanding.
*
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